Realize Medical
Research Library · Independent literature review

Plastic & reconstructive: What is the evidence for HoloLens in surgical planning?

11 Plastic & reconstructive studies in the library address this question.

Plastic & reconstructive: HoloLensBar chart. Plastic & reconstructive: HoloLens. Randomized trials 1, Case reports & technical 10.RESEARCH LIBRARY · INDEPENDENT LITERATURE REVIEWPlastic & reconstructive: HoloLens11 studies in the library, by study designRandomized trials1Case reports & technical10StudiesRealize Medical Research Library · 631 studies · updated 2026-10-03

What the studies report

  • “Recognition rates were 94.3% in the MR group and 82.0% in the CDU group (P = 0.008).”

    Liu 2025 · Randomized controlled trial · n: 80 patients

  • “Using different visualization settings, the spatial relationship of perforators to surrounding anatomical structures-especially the subcutaneous tissue and the Rectus Abdominis Muscle-can be understood more intuitively.”

    Necker 2026 · Technical development

  • “The mean projection error is 10.3 ± 9.4 mm.”

    Unger 2024 · Technical development · n: 21 participants

  • “In these sessions, surgeons discuss perforator anatomy and perforator selection strategies whilst comprehensively assessing the respective models.”

    Necker 2024 · Technical note · n: 4 patients

How strong is the evidence?

Study designs: 1 randomized trial and 10 case reports, case series and technical reports.

All 11 studies

Comparison between mixed reality with artificial algorithms and ultrasound in localization of anterior thigh flap perforators: a prospective randomized controlled study #

Liu Y et al. · BMC Medicine · 2025

Plastic & reconstructive · Randomized controlled trial · n: 80 patients

“Recognition rates were 94.3% in the MR group and 82.0% in the CDU group (P = 0.008).”

P = 0.008

DOIPubMedFree full text

Holographic Deep Inferior Epigastric Perforator Exploration in Mixed Reality using Real-Time Cinematic Rendering #

Necker FN et al. · Aesthetic plastic surgery · 2026

Plastic & reconstructive · Technical development

“Using different visualization settings, the spatial relationship of perforators to surrounding anatomical structures-especially the subcutaneous tissue and the Rectus Abdominis Muscle-can be understood more intuitively.”

DOIPubMed

Design and evaluation of an AR-based thermal imaging system for planning reconstructive surgeries #

Unger M et al. · International journal of computer assisted radiology and surgery · 2024

Plastic & reconstructive · Technical development · n: 21 participants

“The mean projection error is 10.3 ± 9.4 mm.”

10.3 ± 9.4 mm

DOIPubMed

The Reconstructive Metaverse - Collaboration in Real-Time Shared Mixed Reality Environments for Microsurgical Reconstruction #

Necker FN et al. · Surgical innovation · 2024

Plastic & reconstructive · Technical note · n: 4 patients

“In these sessions, surgeons discuss perforator anatomy and perforator selection strategies whilst comprehensively assessing the respective models.”

DOIPubMedFree full text

[The use of augmented reality for preoperative preparation of perforated flaps: a pilot study] #

Shpitser IM et al. · Stomatologiia · 2024

Plastic & reconstructive · Feasibility study · n: 3 patients

“AR for microsurgical planning was performed in two inguinal regions and was 100% correlated with the results of high-frequency ultrasound, in the case of perforant vessels of the peroneal artery”

100%

DOIPubMed

BREAST+: An augmented reality interface that speeds up perforator marking for DIEAP flap reconstruction surgery #

Timóteo R et al. · Healthcare technology letters · 2024

Plastic & reconstructive · Technical development

“The average time taken to mark each perforator is 7.7 ± 6.5 s, with an average absolute error of 6.8 ± 2.6 mm and an estimated average deviation of 3.6 ± 1.4 mm.”

7.7 ± 6.5 s

DOIPubMedFree full text

HoloLens in Breast Reconstruction: What Is the Future? #

Masterton G et al. · Plastic and reconstructive surgery · 2023

Plastic & reconstructive · Technical note

“Although the authors did not use the HoloLens technology to make clinical decisions, they provide evidence of its accuracy and ease of use, offering a proof of concept.”

DOIPubMed

Improving Visualization of Intramuscular Perforator Course: Augmented Reality Headsets for DIEP Flap Breast Reconstruction #

Seth I et al. · Plastic and reconstructive surgery. Global open · 2023

Plastic & reconstructive · Case series · n: 5 patients

“AR technology shows promise in enhancing perforator identification efficiency and deepening understanding of perforator trajectories during preoperative planning.”

DOIPubMedFree full text

Breast3D: An Augmented Reality System for Breast CT and MRI #

Allison B et al. · International Conference on Artificial Intelligence and Virtual Reality · 2020

Plastic & reconstructive · Technical development

DOIFree full text

Augmented reality mastectomy surgical planning prototype using the HoloLens template for healthcare technology letters #

Amini S, Kersten-Oertel M · Healthcare technology letters · 2019

Plastic & reconstructive · Technical development

“This method can be quicker than the traditional way and eliminates sizer implants from the process.”

DOIPubMedFree full text

A Mixed-Reality System for Breast Surgical Planning #

Perkins SL et al. · 2017 IEEE International Symposium on Mixed and Augmented Reality (ISMAR-Adjunct) · 2017

Plastic & reconstructive · Technical development

DOI

All plastic & reconstructive studiesThis question across specialtiesBrowse the whole library

Summarises published research on VR/AR surgical planning across all platforms. Not product labelling. For Elucis indications see /elucis.

Intended for healthcare professionals.

Summaries and quotes describe each study's methods and the findings its authors report. They are not claims by Realize Medical and may contain errors: please read the original paper. Inclusion is not an endorsement of any product or use.